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. 2019;47(1-3):52-57.
doi: 10.1159/000493176. Epub 2018 Sep 17.

Peritoneal Dialysis as an Option for Unplanned Dialysis Initiation in Patients with End-Stage Renal Disease and Diabetes Mellitus

Haijiao Jin, Zhaohui Ni, Xiajing Che, Leyi Gu, Mingli Zhu, Jiangzi Yuan, Jiaying Huang, Aiping Gu, Yan Jin, Hao Yan, Qin Wang, Zanzhe Yu, Wenyan Zhou, Wei Fang

Peritoneal Dialysis as an Option for Unplanned Dialysis Initiation in Patients with End-Stage Renal Disease and Diabetes Mellitus

Haijiao Jin et al. Blood Purif. 2019.

Abstract

Aims: This study aimed to compare the short-term complications and long-term prognosis between urgent-start peritoneal dialysis (PD) and hemodialysis (HD), and explore the safety and feasibility of PD in end-stage renal disease (ESRD) patients with diabetes.

Methods: This retrospective study enrolled ESRD patients with diabetes who required urgent-start dialysis at a single center from January 2011 to December 2014. Short-term (30-day) dialysis-related complications and patient survival trends were compared between patients receiving PD and HD.

Results: Eighty patients were included in the study, including 50 (62.5%) who underwent PD. The incidence of dialysis-related complications and complications requiring reinsertion during the first 30 days was significantly lower in PD patients. Logistic regression identified urgent-start HD as an independent risk factor for dialysis-related complications compared with urgent-start PD. The patient survival rate was higher in the PD compared to that in the HD group.

Conclusions: PD may be acceptable, safe, and feasible for urgent-start dialysis in ESRD patients with diabetes.

Keywords: Diabetes; Hemodialysis; Peritoneal dialysis; Urgent-start dialysis.

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